<!DOCTYPE html>
<html>
<meta charset="utf-8">
<head th:include="include :: header"></head>
<body class="gray-bg">
	<div class="wrapper wrapper-content ">
		<div class="row">
			<div class="col-sm-12">
				<div class="ibox float-e-margins">
					<div class="ibox-content">
						<form class="form-horizontal m-t" id="signupForm">
						<input id="id" name="id" th:value="${tixian.id}"  type="hidden">
							<div class="form-group">
								<label class="col-sm-3 control-label">收款人姓名：</label>
								<div class="col-sm-8">
									<input readonly id="bank2" name="bank2" th:value="${tixian.bank2}"
										   class="form-control"
										   type="text">
								</div>
							</div>
							<div class="form-group">
								<label class="col-sm-3 control-label">开户行账号：</label>
								<div class="col-sm-8">
									<input readonly id="accout" name="accout" th:value="${tixian.accout}"
										   class="form-control" type="text">
								</div>
							</div>


														<div class="form-group">	
								<label class="col-sm-3 control-label">开户行支行：</label>
								<div class="col-sm-8">
									<input readonly id="bank" name="bank" th:value="${tixian.bank}" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">地址：</label>
								<div class="col-sm-8">
									<input readonly id="address" name="address" th:value="${tixian.address}" class="form-control" type="text">
								</div>
							</div>



														<div class="form-group">	
								<label class="col-sm-3 control-label">提款人电话：</label>
								<div class="col-sm-8">
									<input readonly id="phone" name="phone" th:value="${tixian.phone}" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">提款金额：</label>
								<div class="col-sm-8">
									<input readonly id="money" name="money" th:value="${tixian.money}" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">备注：</label>
								<div class="col-sm-8">
									<input readonly id="remark" name="remark" th:value="${tixian.remark}" class="form-control" type="text">
								</div>
							</div>
														<div class="form-group">	
								<label class="col-sm-3 control-label">驳回理由：</label>
								<div class="col-sm-8">
									<input id="bank1" name="bank1"  class="form-control" type="text">
								</div>
							</div>





																					<div class="form-group">
								<div class="col-sm-8 col-sm-offset-3">
									<button type="submit" class="btn btn-primary">提交</button>
								</div>
							</div>
						</form>
					</div>
				</div>
			</div>
	</div>
	</div>
	<div th:include="include::footer"></div>
	<script type="text/javascript" src="/js/appjs/system/tixian/edit.js">
	</script>
</body>
</html>
